Thoracic Flashcards
The spine has primary and secondary curves, label each
Cervical
Thoracic
Lumbar
Sacral
Cervical Secondary curve
Thoracic = Primary
Lumbar= Secondary
Sacral = Primary
Which spinous process has the Greatest Spinous Process Angulation ?
T7
Resting position of the Thoracic Spine
Midway b/w flexion and extension
Closed paced position of the facet joints of the thoracic spine
Full extension
Capsular pattern of the Facet joints of the Thoracic Spine
Side Flexion and equally limited, extension
Which ribs are
True ribs:
False ribs:
Floating ribs:
True ribs: Rib 1-7
False ribs: Rib 8-10
Floating ribs: 11-12
*each rib is connected to its corresponding Thoracic vertebra (T1=Rib 1)
Elevation of the ant. End of the Ribs, What ribs are involved
Pump Handle, Rib 1-6
Increase Let. dimension of the chest (flare out), what ribs are involved?
Bucket Handle, Rib 7-10
Lat. movement of lower ribs, What ribs are involved?
Caliper Action, Rib 8- 12
What muscle of respiration id involved with both inspiration and expiration?
Latissimus dorsi
Nerve of the Diaphragm, including Nerve root
Phrenic nerve
C3,4 and 5
*if only one is being asked it’s C4
Scheuermann’s disease is common in what demographic and What level of the thoracic spine is commonly affected?
common in teenagers - 13-16 yrs old
common level - T10-L2
Idiopathic Scoliosis is more common in what gender? and Why?
What is its demographics?
More common in Females, due to muscle balance, genetic code
Adolescent and Age of peuberty
weakness of the vertebral endplate
and its Clinical Manefestations
Scheuermann’s disease
- Pain
- Neurological Symptoms (impingement)
inflammation of costochondral joint
pain during inhalation
inflammation of costochondral joint
pain during inhalation
Nanami is complaining of pain between the scapula he has no hx of trauma where is the possible origin of the pain?
Cervical region
Gojo has pain in the thoracic area, it does not alleviate even when changing positions of the body, where is the origin?
Pulmonary
Suguru has Pain during breathing and is relieved by any position,m Where is the origin?
Musculoskeletal
Thoracic pain (Back Pain) vs Rib Pain (Side pain)
Jinshi has pain during sneezing and couching what s he possibly experiencing?
Dural pain
MPS: ___ points
fibromyalgia: ____ points
MPS: trigger points
fibromyalgia: Tender points
Naruto has pain during Extension, what is the possible pathorlogy
.Possible facet pathology
Sternum projecting forward and Down, increasing the anteroposterior dimension of the chest. Congenital, leading to impaired breathing.
Pigeon Chest
Kento has dyring pain during forward bend, what is the possible codition?
vertebral body fracture
Breathing Patterns of Young, Teen, Adults, and Elderly?
Young, = Abdominal
Teen, = Chest
Adults, = Chest
Elderly = Abdominal
The spin has regions with curvature identify each Vertebrae is involved with each region:
Cervicothoracic curve
Thoracic curve
Thoracolumbar curve
Lumbar curve
Lumboscaral scoliosis
Cervicothoracic curve - c7-t1
Thoracic curve - t2-t11
Thoracolumbar curve - t12-L1
Lumbar curve - L2-L4
Lumboscaral scoliosis - L5-S1
Sternum is pushed posteriorly due to overgrowth of ribs. May lead to displacement of the heart and may result in kyphosis.
Funnel Chest
Sternum is projecting forward and upward. Associated with Emphysema.
Barrel Chest Deformity
x
